临床骨科杂志2017，Vol.20Issue(4)：483-486,4.DOI:10.3969/j.issn.1008-0287.2017.04.036
两种内固定方法治疗胫骨中下段骨折的疗效比较
Comparison effect of two internal fixation methods in the treatment of middle and distal tibial fracture
摘要
Abstract
Objective To compare the effect of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis in the treatment of middle and distal tibial fracture.Methods Forty-two patients with middle or distal tibial fractures were divided into intramedullary nailing group (21 patients) and plate group (21 patients) according to the treatment methods.The operative time,blood loss,bone union time and complications were compared between two groups.Results All 42 cases were followed up for 10~33 months.The blood loss in the plate group was significantly less than that in the intramedullary nailing group (P<0.05);and intramedullary nailing group was less than plate group in operative time and bone union time,there were no significant difference between the two groups(P>0.05).The Johner-Wruhs standard score was excellent in 16 cases,good in 2 cases,and fair in 2,and poor in 1,with an excellent and good rate of 18/21 in the intramedullary nailing group,and that was excellent in 15 cases,good in 4,and fair in 2,and poor in 0,with an excellent and good rate of 19/21 in the plate group,there was no statistical difference between two groups (P>0.05).The total complications incidence rate in the plate group was significantly lower than that in the intramedullary nailing group(P<0.05).Conclusions The clinical effect of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis in the middle and distal tibial fracture are all satisfactory.However,the minimally invasive percutaneous plate osteosynthesis has advantages of less blood loss and less complications.关键词
胫骨骨折/髓内钉/经皮微创钢板内固定Key words
tibial fractures/intramedullary nailing/minimally invasive percutaneous plate osteosynthesis分类
医药卫生引用本文复制引用
李军,詹俊锋,石志刚,付宇,韩兵,王银生,周云,荆珏华..两种内固定方法治疗胫骨中下段骨折的疗效比较[J].临床骨科杂志,2017,20(4):483-486,4.基金项目
国家自然科学基金面上项目(编号:81671204) （编号:81671204）
安徽省自然科学基金青年项目(编号:1708085QH221) （编号:1708085QH221）
合肥市自主创新政策借转补项目(编号:YW201608080006) （编号:YW201608080006）
安徽省卫生计生委中医药科研课题项目(编号:2016zy92) （编号:2016zy92）
安徽省科技攻关计划项目(编号:1501041149) （编号:1501041149）
